Healthcare Provider Details

I. General information

NPI: 1114246949
Provider Name (Legal Business Name): CHRISTINE LOUISE STERRETT LMFT/LAC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2010
Last Update Date: 07/26/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5040 SW 28TH ST SUITE C
TOPEKA KS
66614-2302
US

IV. Provider business mailing address

1525 SW MCALISTER AVE
TOPEKA KS
66604-1961
US

V. Phone/Fax

Practice location:
  • Phone: 785-338-0307
  • Fax:
Mailing address:
  • Phone: 785-338-0307
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number1062
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number1205
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: